Arrey Walters Tabi, Dimala Christian Akem, Atashili Julius, Mbuagbaw Josephine, Monekosso Gottlieb Lobe
Ako District Hospital, North West Region, Cameroon.
Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK; Orthopaedics Department, Southend University Hospital, Essex, UK; Health and Human Development (2HD) Research Group, Douala, Cameroon.
Int J Hypertens. 2016;2016:5639146. doi: 10.1155/2016/5639146. Epub 2016 Dec 8.
. Despite the increasing trends suggesting that hypertension is a growing public health problem in developing countries, studies on its prevalence, associated risk factors, and extent of blood pressure control have been inequitably done in urban and rural communities in these countries. We therefore aimed to determine the prevalence of hypertension and extent of blood pressure control in rural Cameroon. . This was a community-based cross-sectional study conducted in rural Cameroon (the Moliwe Health Area). Participants aged 21 years and above were recruited by a probability proportional to size multistage sampling method, using systematic sampling for household selection and random sampling for participant selection. Blood pressure, weight, and height were measured by standard methods. Hypertension was defined as BP ≥ 140/90 mmHg. . The prevalence of hypertension among the 733 participants recruited was 31.1% (95% CI: 27.8-34.6) and 71% (95% CI: 58.7-81.7) of these hypertensive patients were newly diagnosed. Only 21.2% (95% CI: 12.1-33.3) of known hypertensives had a well controlled BP. Age, obesity, low educational status, and being married were associated with HTN after adjusting for confounders. . The high prevalence of hypertension and inadequate BP control among known hypertensives in rural Cameroon warrants greater sensitization and regular screening to reduce hypertension-related morbidity and mortality.
尽管有越来越多的趋势表明高血压在发展中国家正成为一个日益严重的公共卫生问题，但在这些国家的城乡社区，关于高血压患病率、相关危险因素以及血压控制程度的研究做得并不均衡。因此，我们旨在确定喀麦隆农村地区高血压的患病率和血压控制程度。
这是一项在喀麦隆农村（莫利韦健康区）开展的基于社区的横断面研究。采用与规模成比例的概率多阶段抽样方法招募21岁及以上的参与者，通过系统抽样选择家庭，通过随机抽样选择参与者。采用标准方法测量血压、体重和身高。高血压定义为血压≥140/90 mmHg。
在招募的733名参与者中，高血压患病率为31.1%（95%置信区间：27.8 - 34.6），这些高血压患者中有71%（95%置信区间：58.7 - 81.7）是新诊断出的。在已知的高血压患者中，只有21.2%（95%置信区间：12.1 - 33.3）的血压得到了良好控制。在调整混杂因素后，年龄、肥胖、低教育程度和已婚与高血压有关。
喀麦隆农村地区高血压患病率高以及已知高血压患者血压控制不足，这就需要提高认识并定期进行筛查，以降低与高血压相关的发病率和死亡率。
